Doctor Name: | MS. BEVERLY ANN TISCHHAUSER |
NPI Number: | 1336341056 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 74049 |
Business Practice Address: | 600 Caisson Hill Road Fort Riley, KS - 664425037 |
Business Phone Number: | 7852397323 |
Business Fax Number: | 7852397364 |
Mailing Address: | 600 Caisson Hill Road, FORT RILEY |
State: | KS |
Postal Code: | 664425037 |
Phone Number: | 7852397323 |
Fax Number: | 7852397364 |
NPI Enumeration Date: | 06/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 74049 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |